A nurse is performing an electrocardiogram on a client who has been experiencing chest pain over the past week or so. Which of the following statements should the nurse make to the patient prior to the test?
"I will need to apply electrodes to your chest and extremities."
"You may feel a slight tingling while the test is being done."
"The radioactivity from the dye lasts only a few hours."
"The test will be complete in 30 to 60 minutes."
The Correct Answer is A
A. "I will need to apply electrodes to your chest and extremities." This is a correct statement. The nurse needs to apply electrodes to the chest and extremities in order to obtain the ECG reading.
B. "You may feel a slight tingling while the test is being done." An ECG is a non-invasive test and does not cause any sensation such as tingling. This statement is inaccurate.
C. "The radioactivity from the dye lasts only a few hours." There is no dye or radioactivity involved in a standard ECG. This statement would apply to imaging studies like a nuclear stress test, not an ECG.
D. "The test will be complete in 30 to 60 minutes." A standard ECG takes only a few minutes to complete. This statement would be inaccurate for this type of procedure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Call 911 for change in condition: Although a weight gain of 1.8 kg (4 lb) and generalized edema are concerning signs of worsening heart failure, calling 911 is not immediately warranted unless the patient is in acute distress, such as having severe shortness of breath or chest pain.
B. Reinforce the importance of daily weights: Daily weight monitoring is important for managing heart failure, but this is not the priority action. The patient's weight gain indicates fluid retention, which requires immediate evaluation of the effectiveness of diuretic therapy.
C. Ensure the client has been taking their prescribed diuretic: The priority action is to assess whether the patient has been taking their diuretic as prescribed, as non-adherence can lead to fluid retention and worsening heart failure. Ensuring compliance with diuretics and adjusting the dose may be necessary to manage the condition.
D. Document the findings and continue with the visit: While documentation is essential, the nurse must first address the cause of the weight gain and edema by assessing medication compliance and possibly contacting the provider for further instructions.
Correct Answer is A
Explanation
A. "I will need to apply electrodes to your chest and extremities." This is a correct statement. The nurse needs to apply electrodes to the chest and extremities in order to obtain the ECG reading.
B. "You may feel a slight tingling while the test is being done." An ECG is a non-invasive test and does not cause any sensation such as tingling. This statement is inaccurate.
C. "The radioactivity from the dye lasts only a few hours." There is no dye or radioactivity involved in a standard ECG. This statement would apply to imaging studies like a nuclear stress test, not an ECG.
D. "The test will be complete in 30 to 60 minutes." A standard ECG takes only a few minutes to complete. This statement would be inaccurate for this type of procedure.
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